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Related Experiment Videos

Third trimester uterine torsion: case report.

Don Wilson1, Aisling Mahalingham1, Sue Ross2

  • 1Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|July 22, 2006
PubMed
Summary

Uterine torsion, a rare pregnancy complication, involves the uterus twisting more than 45 degrees. This case highlights its potential dangers and the need for prompt diagnosis and management during the third trimester.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Pathologic rotation of the uterus, known as uterine torsion, is a rare obstetric complication.
  • Typically occurring in the third trimester, it can lead to adverse maternal and neonatal outcomes.

Observation:

  • A 36-year-old patient at 36 weeks gestation presented with uterine cramping and decreased fetal movement.
  • Initial symptoms mimicked concealed placental abruption, leading to an emergency Cesarean section.
  • Diagnosis of uterine torsion was confirmed intraoperatively during the Cesarean section.

Findings:

  • Uterine torsion is an infrequently reported complication of pregnancy.
  • The case involved a singleton pregnancy with no prior complications until presentation.
  • The patient recovered well and was discharged with her baby post-Cesarean section.

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Implications:

  • Uterine torsion poses significant risks to both mother and fetus.
  • Early recognition and intervention are crucial for managing this obstetric emergency.
  • Further research into the etiology and optimal management of uterine torsion is warranted.